Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-28T00:51:25.176Z Has data issue: false hasContentIssue false
  • English
  • Français

Nosocomial Pulmonary Tuberculosis Contact Investigation in a Neonatal Intensive Care Unit

Published online by Cambridge University Press:  02 January 2015

Kate E. Fisher ,
Robert Guaran ,
Jacqueline Stack ,
Sheila Simpson ,
William Krause ,
Karen D. For ,
Emina Ryan ,
Stephen Conaty ,
Kirsty Hope  and
David Isaacs
...Show all authors
Kate E. Fisher*
Affiliation:
Department of Community Paediatrics, South Western Sydney Local Health District, Liverpool, New South Wales, Australia; and School of Public Health and Community Medicine, University of New South Wales, Liverpool, New South Wales, Australia
Robert Guaran
Affiliation:
Neonatal Intensive Care Unit, Liverpool Hospital, Liverpool, New South Wales, Australia
Jacqueline Stack
Affiliation:
Neonatal Intensive Care Unit, Liverpool Hospital, Liverpool, New South Wales, Australia
Sheila Simpson
Affiliation:
Department of Respiratory Medicine, Liverpool Hospital, Liverpool, New South Wales, Australia
William Krause
Affiliation:
Department of Respiratory Medicine, Liverpool Hospital, Liverpool, New South Wales, Australia
Karen D. For
Affiliation:
Department of Respiratory Medicine, Liverpool Hospital, Liverpool, New South Wales, Australia
Emina Ryan
Affiliation:
Infection Prevention Unit, South Western Sydney Local Health District, Liverpool, New South Wales, Australia
Stephen Conaty
Affiliation:
South Western Sydney and Sydney Local Health Districts Public Health Unit, Camperdown, New South Wales, Australia
Kirsty Hope
Affiliation:
South Western Sydney and Sydney Local Health Districts Public Health Unit, Camperdown, New South Wales, Australia
David Isaacs
Affiliation:
Department of Infectious Diseases, Children's Hospital at Westmead, New South Wales, Australia; and Discipline of Child Health, University of Sydney, Sydney, New South Wales, Australia
Paul Chay
Affiliation:
Department of Paediatrics, Liverpool Hospital, Liverpool, New South Wales, Australia
John Eastwood
Affiliation:
Department of Community Paediatrics, South Western Sydney Local Health District, Liverpool, New South Wales, Australia; and School of Public Health and Community Medicine, University of New South Wales, Liverpool, New South Wales, Australia
Guy B. Marks
Affiliation:
Department of Respiratory Medicine, Liverpool Hospital, Liverpool, New South Wales, Australia Woolcock Institute of Medical Research, Glebe, New South Wales, Australia
*
Department of Community Paediatrics, Hugh Jardine Building, Liverpool Hospital, Locked Bag 7008, Liverpool BC NSW 1871, Australia ([email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

The diagnosis of smear-positive pulmonary tuberculosis in a medical officer working in a metropolitan Australian neonatal intensive care unit led to a contact investigation involving 125 neonates, 165 relatives, and 122 healthcare workers with varying degrees of exposure. There was no evidence of nosocomial tuberculosis transmission from the index case.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 7 , July 2013 , pp. 754 - 756
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Ohno, H, Ikegami, Y, Kishida, K, et al. A contact investigation of the transmission of Mycobacterium tuberculosis from a nurse working in a newborn nursery and maternity ward. J Infect Chemother 2008;14:66–71.CrossRefGoogle Scholar
2.Nivin, B, Nicholas, P, Gayer, M, Frieden, TR, Fujiwara, PI. A continuing outbreak of multidrug-resistant tuberculosis with transmission in a hospital nursery. Clin Infect Dis 1998;26(2):303–307.Google Scholar
3.Borgia, P, Cambieri, A, Chini, F, et al. Suspected transmission of tuberculosis in a maternity ward from a smear-positive nurse: preliminary results of clinical evaluations and testing of neonates potentially exposed, Rome, Italy, 1 January to 28 July 2011. Eurosurveillance 2011;16(40):pii = 19984.Google Scholar
4.Light, IJ, Saidleman, M, Sutherland, JM. Management of newborns after nursery exposure to tuberculosis. Am Rev Respir Dis 1974;109(4):415–419.Google ScholarPubMed
5.Lee, LH, LeVea, CM, Graman, PS. Congenital tuberculosis in a neonatal intensive care unit: case report, epidemiological investigation, and management of exposures. Clin Infect Dis 1998;27(3):474–477.CrossRefGoogle Scholar
6.Kim, KI, Lee, JW, Park, JH, et al. Pulmonary tuberculosis in five young infants with nursery exposure: clinical, radiographic and CT findings. Pediatr Radiol 1998;28:836–840.Google Scholar
7.Steiner, P, Rao, M, Victoria, MS, Rudolph, N, Buynoski, G. Miliary tuberculosis in two infants after nursery exposure: epidemiologic, clinical and laboratory findings. Am Rev Respir Dis 1976;113:267–271.Google Scholar
8.Sen, M, Gregson, D, Lewis, J. Neonatal exposure to active pulmonary tuberculosis in a health care professional. CMAJ 2005;172(11):1453–1455.Google Scholar
9.Burk, JR, Bahar, D, Wolf, FS, Greene, J, Bailey, WC. Nursery exposure of 528 newborns to a nurse with pulmonary tuberculosis. South Med J 1978;71(1):7–10.Google Scholar